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Speaking of what causes bad breath, you might actually find some of them surprising.

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Diphtheria, dysentery, measles, pneumonia, scarlet fever, tuberculosis - extremely foul, fetid odor
There are a few health conditions outside the mouth that can contribute to bad breath. Because dental problems are far more likely to be the culprit, we always rule them out first. If your dentist rules out any dental problems as the source of your bad breath, you then likely need to look outside the mouth. .

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Halitosis can also be caused by factors outside of the oral cavity, which are referred to as extraoral causes. While less common than intraoral causes, there are a number of non-oral diseases that can trigger bad breath.The following are some of the most common extraoral causes of halitosis:
Improperly cleaned dentures can also harbor odor-causing bacteria and food particles. If you wear removable dentures, take them out at night and clean them thoroughly before replacing them.

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Most of the time, you can remove your tonsil stone at home with ease. Still, it’s crucial to be careful with your tonsils since they’re extremely sensitive and prone to rupture.
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Furthermore, untreated tonsil stones can contribute to poor oral health. The bacteria associated with tonsil stones can spread to other areas of the mouth, leading to tooth decay, gum disease, and other oral health issues.

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    If you find that your gag reflex is too strong for this method, you may want to use a mouth-numbing spray Chloraseptic before you go in with the swab. I’ve also written about other methods here.

    Good dental habits can help prevent tonsil stones. Brush and floss your teeth regularly to remove bacteria and keep things from getting stuck in your tonsils. Gargling after eating can also prevent food buildup.
    Halitosis, which is simply the official term for bad breath that is chronic and persistent, can have a wide variety of causes, ranging from simple to serious. Some of the most common offenders include:

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    In addition to drinking water, consuming foods that have high water content, such as fruits and vegetables, can also help keep the mouth hydrated. Avoiding dehydrating beverages such as coffee and alcohol can also help prevent dry mouth and bad breath.

    You can also implement the use of a water pick. You can mix water and mouthwash into the container and flush out your tonsil stones that way. This method is a little easier and also shouldn’t affect your gag reflex as bad as the q-tip might. It is also good for knocking out loose bacteria and food particles that may be hidden inside your tonsils.
    If your dentist has ruled out any oral problems that might cause a chronic bad breath, it is best to see you doctor for an evaluation too. This may indicate infection somewhere else in your body and can be a sign of a range of conditions like diabetes, strep throat, tonsilitis, respiratory tract infections, bronchitis, chronic sinusitis, HIV, digestive system ailments such as ref-lux or liver and kidney problems.

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    Certain foods and drinks can also contribute to bad breath. Foods like garlic and onions contain volatile compounds that are absorbed into the bloodstream and carried to the lungs, where they are exhaled. Similarly, drinks like coffee and alcohol can leave a lingering odor in the mouth.
    Bad breath wasn’t perceived as a medical condition until one company realized that it could help them sell mouthwash Walter Zerla/Blend Images/Corbis

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    I have all always received excellent dental care at Premier Family Dental starting with the wonderful front staff to... Char who does such a thorough job of examining and cleaning my teeth and gently waking me up. My provider is Dr Spring. He is a top notch provider in the field. I have extensive dental work performed by Dr Spring and never had one problem with his dental work. I appreciate Dr Spring as a provider but what I really appreciate is the fact after he gives his examination Dr sits and talks and jokes with me. I know providers of all specialities are busy but for the providers that take a few more minutes with me............ that puts the special touch to my visit feeling welcomed. Thank you and see you in 6 monthsread more

    Essential oils, such as tea tree oil or peppermint oil, can be used as a mouthwash or added to water for gargling. These oils have antimicrobial properties that can help kill bacteria and reduce bad breath.
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Diabetes can cause bad breath for two different reasons; periodontal disease, and high levels of ketones in the blood.

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Based on the underlying cause, halitosis is divided into three classes: Physiologic halitosis, pathologic halitosis, and psychogenic halitosis. Food substances usually cause physiologic halitosis with a strong smell, such as onion, garlic, etc. In other cases, the accumulation of food particles within the oral cavity for a long time can also cause bad breath. Any abnormality that reduces the salivary flow rate or causes dry mouth contributes to physiologic halitosis.

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There are also small monitors available which can detect certain gases, but the limitation here is that it only includes some gases and not others. Finally ‘gas chromatography’ – a technique to separate complex mixtures of gases – can measure the quantity of sulphur in the air, but involves specialised equipment that you won’t find in many doctors’ offices.

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Keep the mouth moist by drinking water and chewing sugarless gum or sugar-free hard candy to stimulate the production of saliva. Mouthwash may temporarily mask bad breath odors, but it may not treat the underlying cause.

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